FOI Request - RPA/RPS Correspondence and Private Practice Oversight

AuthorityManx Care
Date received2025-07-17
OutcomeSome information sent but part exempt
Outcome date2025-08-18
Case ID4806927

Summary

The request sought correspondence and oversight documents regarding private-practice imaging sessions at Manx Care from 2021 to present, but the authority provided a 2021 annual radiation safety report covering the period 2019-2021 instead, with part of the information exempt.

Key Facts

  • The response includes an IRS Annual Report for Nobles Hospital covering the period 1st June 2019 to 31st May 2021.
  • In 2020, the statutory 2 mSv dose investigation level for whole body exposure was exceeded by a Nuclear Medicine staff member.
  • Extremity dose investigation levels were exceeded in both 2019 and 2020 for Nuclear Medicine staff.
  • Unusually high doses in Radiology in 2019 were attributed to cargo x-ray machines scanning packages despite x-ray sensitive labels.
  • Dose sharing cooperation exists between Manx Care and Manx Medical Limited (MML) for employees working at both sites.

Data Disclosed

  • 20 mSv
  • 500 mSv
  • 1.42 mSv
  • 2.24 mSv
  • 58 mSv
  • 64 mSv
  • 1.69 mSv
  • 1.21 mSv
  • 4.02 mSv
  • 0.36 mSv
  • 0.4 mSv
  • 1st June 2019
  • 31st May 2021
  • Wednesday 6th October 2021
  • 2019
  • 2020
  • 2016
  • 2017
  • 2018
  • 174
  • 132.8
  • 120.89
  • 136.82
  • 83.56

Original Request

Dear FOI Officer, To narrow the focus of my request, please treat this as a refined FOI request solely concerning private-practice imaging sessions undertaken within Manx Care facilities from 1 January 2021 to present. Scope of Request 1. All correspondence (email, memos, meeting minutes) between: o The Radiation Protection Adviser (RPA) or Radiation Protection Supervisor (RPS) o Any member of the Executive Team or Radiology Department relating exclusively to the scheduling, approval, governance or oversight of private-practice sessions. 2. Any internal reports, risk assessments or policy documents authored by the RPA/RPS (or reviewed by the Executive Team) that address: o Justification and optimization of private-practice patient exposures under Isle of Man (IOM) Ionizing Radiation (Medical Exposure) Regulations 2019 (IR(ME)R19). o Staff dose monitoring, safety concerns or conflict-of-interest issues arising from private-practice work under IIRAO19. o Equipment allocation, maintenance or quality assurance specifically for private-practice sessions. 3. Copies of any local rules, standard operating procedures or contracts governing private-practice use of the following modalities: o CT (all CT scanners) o Fluoroscopy & interventional suites o Digital X-ray rooms o MRI (all scanners) o Ultrasound rooms

Data Tables (225)

REPORT OF THE WORK OF
INTEGRATED RADIOLOGICAL SERVICES LIMITED
FOR
Nobles Hospital – Isle of Man
Reporting Period 1st June 2019 to 31st May 2021
Name FINGER Hp 0.07 (mSv) 2016 FINGER Hp 0.07 (mSv) 2017 FINGER Hp 0.07 (mSv) 2018 FINGER Hp 0.07 (mSv) 2019 FINGER Hp 0.07 (mSv) 2020
80.8 58 53.2 57.89 64.16
12.7 12.6 13.14 8.78 4.71
60.6 47.6 50.45 25.27 9.91
19.9 14.6 4.1 0.42 4.78
Total 174 132.8 120.89 136.82 83.56
RPA/MPE AND SURVEY WORK UNDERTAKEN FOR NOBLES
HOSPITAL FROM 1st June 2019 to 31st May 2021
RPA WORK COMPLETED ( 97 )
Job Card Date In Date Out Task Code Contact Type Contact Name Ref
Nobles Jobs (88)
RPA WORK COMPLETED ( 97 )
Job Card Date In Date Out Task Code Contact Type Contact Name Ref
Nobles Jobs (88)
RPA20-2845
RPA WORK COMPLETED ( 97 )
Job Card Date In Date Out Task Code Contact Type Contact Name Ref
Nobles Jobs (88)
RPA21-1448
RPA WORK COMPLETED ( 97 )
Job Card Date In Date Out Task Code Contact Type Contact Name Ref
Nobles Jobs (88)
RPA20-2536
RPA WORK COMPLETED ( 97 )
Job Card Date In Date Out Task Code Contact Type Contact Name Ref
Nobles Jobs (88)
RPA19-6510
RPA WORK COMPLETED ( 97 )
Job Card Date In Date Out Task Code Contact Type Contact Name Ref
Nobles Jobs (88)
RPA19-3302
RPA WORK COMPLETED ( 97 )
Job Card Date In Date Out Task Code Contact Type Contact Name Ref
Nobles NM Jobs (8)
RPA20-6384
SURVEY WORK COMPLETED ( 65 )
Schedule Report Date Survey Ref Survey Location Details Equipment Details Ref Date
Nobles Surveys (55)
REPORT OF THE WORK OF
INTEGRATED RADIOLOGICAL SERVICES LIMITED
FOR
Nobles Hospital – Isle of Man
Reporting Period 1st June 2021 to 31st May 2022
Name FINGER FINGER FINGER FINGER FINGER
Hp 0.07 Hp 0.07 Hp 0.07 Hp 0.07 Hp 0.07
(mSv) (mSv) (mSv) (mSv) (mSv)
2017 2018 2019 2020 2021
58 53.2 57.89 64.16 102
12.6 13.14 8.78 4.71 2.63
47.6 50.45 25.27 9.91 12.02
14.6 4.1 0.42 4.78 1.04
Total 132.8 120.89 136.82 83.56 117.69
Wearer Nobles WB Dose (mSv) MPC WB Dose Total Whole Body Dose (mSv)
(mSv)
0.00 1.31 1.31
Radiographer <0.3 0.00 <0.3
Nurse <0.3 0.00 <0.3
Nobles WB Dose
(mSv)
Total Whole Body
Dose (mSv)
RPA Job No. Date Incident Summary Summary of IRS advice
issued
Patient A attended ED and was x- Accidental dose is about rayed. Returned the following day for 0.68µSv. The additional lifetime a review, no further x-rays were cancer risk is roughly 1 in 26 required. million and is considered Patient B attended ED and was negligible. RPA22-2699 30/03/2022 triaged with a request made for scaphoid views. Considered reportable to the Patient A was taken from ED to x-ray enforcement authority. and had the scaphoid images taken Investigation recommended. under Patient B’s demographics.
RPA22-0408 19/01/2022 An administrative error in referring a patient for a CT scan lead to the wrong patient being scanned. Accidental dose is about
13.7mSv. The additional lifetime
cancer risk is roughly 1 in 6,000
and is considered low risk.
Considered reportable to the
enforcement authority.
Investigation recommended
Accidental dose is about 1.2mSv. The additional lifetime cancer risk is roughly 1 in 83,000 and is Wrong wristband on patient which considered very low risk. RPA21-4296 18/06/2021 lead to the accidental exposure Considered reportable to the enforcement authority. Investigation recommended
An administrative error in referring a
patient for a CT scan lead to the
wrong patient being scanned.
RPA/MPE AND SURVEY WORK UNDERTAKEN FOR NOBLES
HOSPITAL FROM 1st June 2021 to 31st May 2022
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M(cid:19)N(cid:9)(cid:7)(cid:14)$(cid:9)(cid:3) (cid:8)(cid:9)(cid:23)(cid:1)(cid:6)(cid:12)(cid:3)(cid:11)(cid:5)(cid:12)(cid:9) M(cid:14)(cid:6)O(cid:9)(cid:22)(cid:3)(cid:8)(cid:9)(cid:10) M(cid:14)(cid:6)O(cid:9)(cid:22)(cid:3) (cid:30)(cid:1)(cid:19)(cid:5)(cid:12)Q(cid:1)(cid:18)(cid:3)(cid:11)(cid:9)(cid:12)(cid:5)Q$(cid:16) (cid:31)P(cid:14)Q(cid:23)(cid:21)(cid:9)(cid:18)(cid:12)(cid:3)(cid:11)(cid:9)(cid:12)(cid:5)Q$(cid:16) (cid:8)(cid:9)(cid:10) (cid:11)(cid:5)(cid:12)(cid:9)
(cid:20)(cid:1)(cid:2)$(cid:9)(cid:16)(cid:3)(cid:20)(cid:29) M(cid:14)(cid:6)O(cid:9)(cid:22)(cid:16)(cid:3) U#
EQUIPMENT SURVEY RECOMMENDATIONS FOR NOBLES
HOSPITAL FROM 1st June 2021 to 31st May 2022
Equipment Survey ID Recommendation
Breast Clinic Ultrasound - BU22-2637 Equipment Age GE Logiq S8 A plan should be considered for replacement of this equipment
Mammography Mammo Reporting Monitors ID22-2638 Luminance Response
Monitors need to be recalibrated so that the
maximum luminance between the left and right
monitors is within 5% (and >450cd/m2)
Mammography – Room 2 MM22-2641 Image Quality – Detail Detection It is recommended that the mammography radiologists be consulted over image quality, with the option to further improve image quality by switching to the ‘High Dose’ setting, if they deem it will aid clinical diagnosis. It should be noted that this ‘high dose’ setting gives doses much lower doses than national tolerance levels, and at levels more comparable to digital mammography systems from other manufacturers
Mammography – Room 2 MM22-2641 Image Quality – CDMAM (Tomosynthesis
Mode)
It is recommended image quality be
undertaken locally and compared to (a)
reference baseline
image(s). IRS have also undertaken image
quality checks ‘TORMAX’ and ‘TORMAM’ test
objects.
Results are provided for reference.
Mammography – Room 1 MM22-2642 Image Quality – Detail Detection It is recommended that the mammography radiologists be consulted over image quality, with the option to further improve image quality by switching to the ‘High Dose’ setting, if they deem it will aid clinical diagnosis. It should be noted that this ‘high dose’ setting gives doses much lower doses than national tolerance levels, and at levels more comparable to digital mammography systems from other manufacturers
MRI – Philips Achieva MR22-2634 None
MRI – Siemens Magnetom MR22-2640 None Luminia 3T
MRI Safety Audit PD22-2639 None
Mammography Mammo
Reporting Monitors
REPORT OF THE WORK OF
INTEGRATED RADIOLOGICAL SERVICES LIMITED
FOR
Nobles Hospital – Isle of Man
Reporting Period 1st June 2022 to 31st May 2023
Wearer Nobles WB Dose (mSv) MPC WB Dose Total Whole Body Dose (mSv)
(mSv)
<0.1 0.65 <0.66
Radiographer <0.1 <0.1 <0.3
Nurse <0.1 <0.1 <0.3
Nobles WB Dose
(mSv)
Total Whole Body
Dose (mSv)
Department Root Cause # of incidents
Radiology 11
Wrong Side Imaged 5
Accidental activation of 1 footswitch
Image Loss 2
Equipment Issue 1
Incorrect Referral 1
Wrong Anatomy 1
CT 2
Non-entitled Referrer 1
Image Artefact 1
RPA/MPE AND SURVEY WORK UNDERTAKEN FOR NOBLES
HOSPITAL FROM 1st June 2022 to 31st May 2023
(cid:0)(cid:1)$(cid:3)%(cid:5)(cid:0)&(cid:3)(cid:2)(cid:5)(cid:21)(cid:1)’(cid:4)(cid:6)(cid:4)(cid:31)(cid:3)(cid:3)((cid:3))*(cid:3)+
(cid:13)(cid:10)(cid:25)(cid:3)(cid:2)(cid:22)(cid:8)(cid:11)(cid:3) (cid:31)(cid:22)(cid:19)(cid:7)(cid:3)(cid:28)(cid:15) (cid:31)(cid:22)(cid:19)(cid:7)(cid:3)(cid:5)(cid:14)(cid:19) (cid:6)(cid:22)(cid:27) (cid:3)(cid:2)(cid:10)(cid:11)(cid:7) (cid:2)(cid:10)(cid:15)(cid:19)(cid:22)!(cid:19)(cid:3)(cid:6)(cid:23)#(cid:7) (cid:2)(cid:10)(cid:15)(cid:19)(cid:22)!(cid:19)(cid:3)(cid:24)(cid:22)"(cid:7) (cid:0)(cid:7)(cid:30)
(cid:24)(cid:10)(cid:25)(cid:26)(cid:7)(cid:27) (cid:13)(cid:10)(cid:25)(cid:27)(cid:3)()(cid:20)+
(cid:8)(cid:25)(cid:26)(cid:3)(cid:27)(cid:13)(cid:8)(cid:28)(cid:3)(cid:4)(cid:13)(cid:29)(cid:25)(cid:30)(cid:31)(cid:15)(cid:31)(cid:11)(cid:3)(cid:3) (cid:3)!"(cid:3)#
(cid:0)(cid:1)(cid:2)(cid:3)(cid:4)(cid:5)(cid:6)(cid:7)(cid:3) (cid:11)(cid:5)(cid:12)(cid:9)(cid:3)(cid:24)(cid:18) (cid:11)(cid:5)(cid:12)(cid:9)(cid:3)(cid:13)(cid:14)(cid:12) (cid:15)(cid:5)(cid:16)(cid:17)(cid:3)(cid:4)(cid:1)(cid:7)(cid:9) (cid:4)(cid:1)(cid:18)(cid:12)(cid:5)(cid:19)(cid:12)(cid:3)(cid:15)(cid:22)(cid:23)(cid:9) (cid:4)(cid:1)(cid:18)(cid:12)(cid:5)(cid:19)(cid:12)(cid:3)(cid:20)(cid:5)(cid:21)(cid:9) (cid:8)(cid:9)(cid:10)
(cid:20)(cid:1)(cid:2)$(cid:9)(cid:16) (cid:0)(cid:1)(cid:2)(cid:16)(cid:3) !%#
&’()*+),)- <0=>4?0@0:=8
(cid:8)(cid:25)(cid:26)(cid:3)(cid:27)(cid:13)(cid:8)(cid:28)(cid:3)(cid:4)(cid:13)(cid:29)(cid:25)(cid:30)(cid:31)(cid:15)(cid:31)(cid:11)(cid:3)(cid:3) (cid:3)!"(cid:3)#
(cid:0)(cid:1)(cid:2)(cid:3)(cid:4)(cid:5)(cid:6)(cid:7)(cid:3) (cid:11)(cid:5)(cid:12)(cid:9)(cid:3)(cid:24)(cid:18) (cid:11)(cid:5)(cid:12)(cid:9)(cid:3)(cid:13)(cid:14)(cid:12) (cid:15)(cid:5)(cid:16)(cid:17)(cid:3)(cid:4)(cid:1)(cid:7)(cid:9) (cid:4)(cid:1)(cid:18)(cid:12)(cid:5)(cid:19)(cid:12)(cid:3)(cid:15)(cid:22)(cid:23)(cid:9) (cid:4)(cid:1)(cid:18)(cid:12)(cid:5)(cid:19)(cid:12)(cid:3)(cid:20)(cid:5)(cid:21)(cid:9) (cid:8)(cid:9)(cid:10)
(cid:20)(cid:1)(cid:2)$(cid:9)(cid:16) (cid:0)(cid:1)(cid:2)(cid:16)(cid:3) !%#
&’())*+,-, ’:;<4.;=:>?;6
(cid:8)(cid:25)(cid:26)(cid:3)(cid:27)(cid:13)(cid:8)(cid:28)(cid:3)(cid:4)(cid:13)(cid:29)(cid:25)(cid:30)(cid:31)(cid:15)(cid:31)(cid:11)(cid:3)(cid:3) (cid:3)!"(cid:3)#
(cid:0)(cid:1)(cid:2)(cid:3)(cid:4)(cid:5)(cid:6)(cid:7)(cid:3) (cid:11)(cid:5)(cid:12)(cid:9)(cid:3)(cid:24)(cid:18) (cid:11)(cid:5)(cid:12)(cid:9)(cid:3)(cid:13)(cid:14)(cid:12) (cid:15)(cid:5)(cid:16)(cid:17)(cid:3)(cid:4)(cid:1)(cid:7)(cid:9) (cid:4)(cid:1)(cid:18)(cid:12)(cid:5)(cid:19)(cid:12)(cid:3)(cid:15)(cid:22)(cid:23)(cid:9) (cid:4)(cid:1)(cid:18)(cid:12)(cid:5)(cid:19)(cid:12)(cid:3)(cid:20)(cid:5)(cid:21)(cid:9) (cid:8)(cid:9)(cid:10)
(cid:20)(cid:1)(cid:2)$(cid:9)(cid:16) (cid:0)(cid:1)(cid:2)(cid:16)(cid:3) !%#
&’())*+,-. /<=>5?<@@<1=9
(cid:0)(cid:25)(cid:8)(cid:26)(cid:18)(cid:27)(cid:7)(cid:28)(cid:29)(cid:8)(cid:30)(cid:7)(cid:31)(cid:29) !(cid:24)(cid:18)"(cid:18)(cid:14)(cid:7)(cid:7)#(cid:7)$%(cid:7)&
(cid:0)(cid:1)(cid:2)(cid:3)(cid:4)(cid:5)(cid:6)(cid:3)(cid:7) (cid:8)(cid:3)(cid:10)(cid:11)(cid:12)(cid:13)(cid:7)(cid:14)(cid:15)(cid:13)(cid:3) (cid:0)(cid:5)(cid:12)(cid:16)(cid:3)(cid:17)(cid:7)(cid:8)(cid:3)(cid:9) (cid:0)(cid:5)(cid:12)(cid:16)(cid:3)(cid:17)(cid:7) (cid:24)(cid:11)(cid:1)(cid:15)(cid:13)(cid:20)(cid:11)(cid:22)(cid:7)(cid:14)(cid:3)(cid:13)(cid:15)(cid:20)(cid:6)(cid:23) (cid:18)(cid:19)(cid:5)(cid:20)(cid:10)(cid:21)(cid:3)(cid:22)(cid:13)(cid:7)(cid:14)(cid:3)(cid:13)(cid:15)(cid:20)(cid:6)(cid:23) (cid:8)(cid:3)(cid:9) (cid:14)(cid:15)(cid:13)(cid:3)
’(cid:11)((cid:6)(cid:3)(cid:23) (cid:0)(cid:5)(cid:12)(cid:16)(cid:3)(cid:17)(cid:23)(cid:7)#$%&
EQUIPMENT SURVEY RECOMMENDATIONS FOR NOBLES
HOSPITAL FROM 1st June 2022 to 31st May 2023
Equipment Survey ID Recommendation
Ultrasound - GE Logiq S8 U23-1636 ML6-15-D: transducer should only be considered for clinical use when high penetration is not required
CT – Mediso AnyScan CT23-1643 The CT numbers of LDPE and PTFE should be investigated during next routine service
Ultrasound – GE Logiq E10 U23-1651 A label with the date of the last checks should be updated and left either on the scanner or in the QA log book for future reference
DEL Medical FMT18T X23-1850 LBD – The maximum size of the LBD (Ramsay) exceeded the maximum detector size by >3cm
X23-1850 The exposure switch should be labelled properly so it is clear which is for the OPG and which is for the x-ray tube.
REPORT OF THE WORK OF
INTEGRATED RADIOLOGICAL SERVICES LIMITED
FOR
Nobles Hospital – Isle of Man
Reporting Period 1st June 2023 to 31st May 2024
Name 2023 Dose (mSv)
0.3
0.23
0.19
0.14
0.11
C-arm Badge Location 2023 Dose
No. (mSv)
1 II 1 BASE,10096 0.09
1 II 1 DETECTOR,10098 5.81
1 II 1 TUBE,10097 5.58
2 II 2 BASE,10099 1.3
2 II 2 DETECTOR,10100 0.42
2 II 2 TUBE,10101 24.36
3 II 3 MINI C-ARM,10102 M
Wearer Nobles WB Dose (mSv) MPC WB Dose Total Whole Body Dose (mSv)
(mSv)
0.00 0.42 0.42
Radiographer <0.2 0.00 <0.2
Nurse Not Known 0.00 -
Nobles WB Dose
(mSv)
Total Whole Body
Dose (mSv)
Number Required Action Owner Completion
Date
1. Review and up-date risk assessments to the same format as the CT V2 RPS
2. Provide an SOP for testing and QA of lead rubber garments. RPS
3. Undertake environmental monitoring of main radiology. (please provide a floor layout drawing of all rooms for advice on monitoring positions). RPS
RPS Refresher Training 24/07/2024
Laser Safety Training Course 06/08/2024
CBCT Level 1 - Core Training 06/11/2024
RPS Refresher Course 04/12/2024
EQUIPMENT SURVEY RECOMMENDATIONS FOR NOBLES
HOSPITAL FROM 1st June 2023 to 31st May 2024
Equipment Survey ID Recommendation
Ultrasound - GE Logiq S8 U23-1636 ML6-15-D: transducer should only be considered for clinical use when high penetration is not required
CT – Mediso AnyScan CT23-1643 The CT numbers of LDPE and PTFE should be investigated during next routine service
Ultrasound – GE Logiq E10 U23-1651 A label with the date of the last checks should be updated and left either on the scanner or in the QA log book for future reference
DEL Medical FMT18T X23-1850 LBD – The maximum size of the LBD (Ramsay) exceeded the maximum detector size by >3cm
X23-1850 The exposure switch should be labelled properly so it is clear which is for the OPG and which is for the x-ray tube.
From: To: Cc: Subject: Private Patients - Process Change Update Date: 11 March 2025 12:41:34 Attachments: image001.png image004.png image005.png image003.png image008.png image009.png image010.png image011.png image014.png image018.png image019.png
Good afternoon All, We have a patient registration form that needs to be completed by the patient prior to PPU scheduling Radiology exams now (this is for all Private Treatment), in the interim this will slow down the process of scheduling as we need to wait for the form to be returned then register the patient in our system to confirm insurance information is correct. We have emailed approximately 20-30 registration forms over the last 2 days so we are waiting for these to be returned. Please note the reason for the change in process is to provide a legally binding agreement between PPU and the patient and financial reasons regarding approval of insurance membership information. Kind regards, 3 Reayrt Noa • Noble’s Hospital • Strang Braddan • Isle of Man • IM4 4RJ • www.manxcare.im From: Sent: 07 March 2025 09:19 To: Cc: Subject: Radiographer Private Patient Availability 10/03 - 16/03 Good morning All, Can we please have availability for next week? Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday Date 10-Mar 11-Mar 12-Mar 13-Mar 14-Mar 15-Mar 16-Mar AM PM Kind regards,
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date 10-Mar 11-Mar 12-Mar 13-Mar 14-Mar 15-Mar 16-Mar
AM
PM
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date 03-Mar 04-Mar 05-Mar 06-Mar 07-Mar 08-Mar 09-Mar
AM
PM
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date 23-Feb 24-Feb 25-Feb 26-Feb 27-Feb 28-Feb 01-Mar
AM
PM
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date 03-Feb 04-Feb 05-Feb 06-Feb 07-Feb 08-Feb 09-Feb
AM
PM
Date Commencing: 30/12/2024
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date 30-Dec 31-Dec 01-Jan 02-Jan 03-Jan 04-Jan 05-Jan
AM
AM
AM
AM - US
PM
PM
PM
PM
PM
PM - CT
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date 23-Dec 24-Dec Christmas Boxing Day 27-Dec 28-Dec 29-Dec
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date 30-Dec 31-Dec New Year’s Day 02-Jan 03-Jan 04-Jan 05-Jan
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date 02-Dec 03-Dec 04-Dec 05-Dec 06-Dec 07-Dec 08-Dec
AM
AM
AM
AM - US
PM
PM
PM
PM
PM - US
PM - CT
Kind regards, 3 Reayrt Noa • Noble’s Hospital • Strang Braddan • Isle of Man • IM4 4RJ • www.manxcare.im
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date 11-Nov 12-Nov 13-Nov 14-Nov 15-Nov
AM
AM
AM
AM - US
PM
PM
PM
PM - US
PM - CT
Please note PPU administration has had in increase in workload, so we ask if you could please assists by checking
Soliton Manual Status to see if you are scheduled to a PP exam if you have provided availability for that day.
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date BH 08-July 09-July 10-July 11-July 12-July 13-July
AM
PM
Review Date Reviewed By
January 2023
January 2024 o
January 2025
Name (Print) Job Title e Date Signature
l
l
o
r
t
n
o
c
n
U
y
p
o
C
Nobles Isle of Man Hospital
LOCAL RULES FOR RADIATION SAFETY
(The Ionising Radiation Regulations 2017)
Angiography suite
Review Date n Reviewed By Comments
January 2020 o October 2021
c October 2022 March 2023
n June 2024
U June 2025
June 2026
Nobles Isle of Man Hospital
LOCAL RULES FOR RADIATION SAFETY
(The Ionising Radiation Regulations 2017)
General Rooms including Fluoroscopy and mobiles
Review Date Reviewed By Comments
January 2020 p October 2021
October 2022 o March 2023
August 2024 C
August 2025
d
Aneurysm Clips (whatever type) -MUST NOT be scanned unless they have
been proven safe at 1.5 or 3T.
-If the request is for a patient with a non
ferro-magnetic clip in situ the radiologist
must be informed.
-The type and its MR compatibility must be
p confirmed.
-If the scan is to be performed written
consent accepting responsibility must be
o obtained from the radiologist or in their
absence the requesting Doctor.
Open heart surgery C < than 3 months ago
Female patients that have been sterilized < than 3 months ago
Coronary stents inserted < than 8 weeks ago
Occlusive clips or pins inserted < than 6 weeks ago
Programmable hydrocephalus shunts d
Cochlear implants
Prosthesis determined not MR safe or not e e.g. heart valve replacements e e.g. heart valve replacements
determined MR safe
Mechanical, electrical or magnetically l l Unless known to be safe in MRI
operated devices
Metallic splinters in the eye Unless they have been removed at hospital
o Any implant not proven to be MR safe
Pregnant patient. Especially those in their Unless authorised. (See pregnancy rule)
r first Trimester
t ECG patches Unless designed for MRI
Medical skin patches Unless known to be safe in MRI
n Mechanical watches
Swipe cards
o All loose ferro-magnetic objects All loose ferro-magnetic objects e.g. money, tools, spectacles, hearing aids,
keys, scissors etc…
c nFerro-magnetic objects e.g. monitoring equipment, infusion
pumps, gas cylinders, wheelchairs
and trolleys not marked safe for
MRI etc
U Cardiac Pacemaker/ICD Not to be scanned even if known to
be MRI conditional
Level Limit Value
Average SAR t Absolute Limit 4.0
Average SAR Discretionary Limit 2.0
n Peak SAR Absolute Limit 10.0
Peak SAR Discretionary Limit 7.5
SAR Aspect Limits in Normal Operating Mode (W/kg) Limits in First Level Operating Mode
Whole Body 2.0 4.0
U Exposed Body 2.0 – 10.0 2.0 – 10.0
Head 3.2 3.2
Uncontrolled Level Upper Level
Whole-body temperature rise (Degrees C) d 0.5 1.0
t Head Trunk Limbs
n Maximum local tissue temperature (Degrees C) 38 39 40
Duration of exposure Uncontrolled Level * Upper Level *
n >30 mins 1 W kg-1 2Wkg-1
15 - 30 mins 30 W min-1 kg-1 60 W min-1 kg-1
<I5mins 2 W kg-1 4 W kg-1
Peak SARs in any one Kilogram*
Duration of exposure Read Trunk Limbs
>3Omins 2 W kg-1 4 W kg-1 6 W kg-1
15-3Omins 6O W min-1 kg-1 120 W min-1 kg-1 I8O W min-1 kg-1
< l5rnins 4 W kg-1 18 W kg-1 l2 W kg-1
y p o C d e l l o r t n o c n U
Date of Review Reviewed By Significant Comments & Changes Section in Policy if relevant
14.07.2023 E.g. Supervised area now MR controlled access area
12.07.2024 No amendments required.
Policy Title e Ultrasound Vetting Guidelines
Author(s) o
Document effective from r June 2023
n Next review due t June 2025
o Intended audience c Sonographers Radiologists Any staff member involved in the administration of ultrasound requests
n Superseded documents Vetting guidelines for Ultrasound Examinations (June 2020)
U Previous reviews
Changes made during latest review
Vetting l o Triaging process to assess if an ultrasound r request is justified and to assess its clinical urgency
t n Justification Assessment of the clinical information in a ultrasound request and the subsequent appropriate use of ultrasound, to answer the clinical question posed by the referrer
o c Qualified Practitioner Any appropriately trained and registered healthcare professional such as a Radiographer, Radiologist or Sonographer
n Medical referrer Any medically trained and registered doctor
Non-Medical Referrer Any non-medically trained and registered health care professional that has been trained and approved to request radiological examinations
n Priority Definition
o Urgent Emergency requests such as ED cancer referrals (2ww) carotids (1ww)
Soon Request that need doing within 4 to 6 weeks
Routine Not clinically urgent
Referrer Requested Examinations to be performed as directed by the referrer, i.e. for a specific clinic or interval
Cancel Duplicate request DUD
Cancel Not Justified CNJ
Cancel Wrong exam requested p CNCEXAM
Cancel Wrong exam, changed to correct exam CNCEXCH
Cancel Wrong demographics o DEMOG
Reject C Inadequate information, please discuss IR
Reject Inappropriate requester IR
Reject Not justified under current guidelines NT
Reject d Other rejection reason OTHERJ
Examination Time frame y Requests accepted from
Urgent ED e.g. trauma, sepsis, ?ectopic pregnancy etc. Same day p ED, wards
DVT Next free allocated slot (11 am and 2pm) as in ED diary o ED, wards, OP if they have same day follow up (NOT GP’s)
Carotid Within 1 week C Hospital Consultants only
Cancer referrals on 2ww pathway d Within 2 weeks GP’s, secondary care
Post-Menopausal Bleeding (PMB) e Within l2 weeks – dates will be dictated by PIC PMB pathway –Hospital Consultant (NOT GP’s)
Outpatients (secondary care) l o As directed by clinical rinformation and priority on request Secondary care
t GP’s (primnary care) As directed by clinical information and priority on request GP’s
o Referrer requested As directed by referrer on the request GP’s, secondary care
c n Private Patients Within 2 weeks To be performed out of hours usually between 8-9 am and 5-6 pm GP’s Including private GP practice, Hospital Consultants
General Obstetric requests As dictated by screening pathway and/or clinical need Hospital consultants, some midwives Not GP’s
Early Pregnancy Issues Next available EPAU, or sooner if clinically indicated Requests to be generated through EPAU, or ED if clinically unstable ?ectopic

Full Response Text

Registered Company No.1941809 www.irs-limited.com Nobles Hospital – Isle of Man IRS Annual Report Report By:

For the Annual Radiation Safety Committee Meeting Held on the Wednesday 6th October 2021

REPORT OF THE WORK OF INTEGRATED RADIOLOGICAL SERVICES LIMITED FOR
Nobles Hospital – Isle of Man Reporting Period 1st June 2019 to 31st May 2021

  1. Personal Monitoring
    1.1 The doses recorded by hospital employees wearing personal monitoring badges have been reviewed for the 2019 and 2020 calendar years and compared against dose limits in the Ionising Radiations Regulations (Application) Order 2019.

1.2 For information, the annual radiation dose limits and dose levels for classification under the IRR17 are as follows:

Whole Body Extremity Lens of the Eye

Classified radiation worker

20 mSv 500 mSv 20 mSv

Non-classified worker

15 mSv 150 mSv 15 mSv

Member of public (not patients)
1 mSv 50 mSv 15 mSv Nuclear Medicine
1.3 members of staff (see below) at Nobles Hospital received a whole body dose in excess of 1.0 mSv, i.e. 1/20th of the annual dose limit during the calendar year. As the IRR17 considers a whole body effective dose greater than 1 mSv as a ‘significant’ dose the wearers and doses received are highlighted below. In 2020 the statutory 2 mSv dose investigation level was exceeded and a local investigation is therefore required.
Wearer No. Nuclear Medicine
1.42 mSv (2019) Wearer No. Nuclear Medicine 2.24 mSv (2020)

1.4 Thermoluminescent dosemeters (TLD) are used to measure extremity doses in the Department of Nuclear Medicine and Interventional Radiology.

Currently a value of 50 mSv is adopted in Nuclear Medicine as the personal monitoring investigation level for extremity doses. One members of staff exceeded the local dose investigation level. The details are as follows: Wearer No. Nuclear Medicine ~58 mSv (2019) Wearer No. Nuclear Medicine ~64 mSv (2020)

A local investigation is therefore required. The investigation need not be particularly detailed if exposures are considered as low as reasonably practicable (ALARP).
Peak finger doses for members of staff in Nuclear Medicine who are preparing, dispensing and injecting radioactive materials are provided in the table below:

Registered Company No.1941809 www.irs-limited.com

Name FINGER Hp 0.07 (mSv) 2016 FINGER Hp 0.07 (mSv) 2017 FINGER Hp 0.07 (mSv) 2018 FINGER
Hp 0.07 (mSv) 2019 FINGER
Hp 0.07 (mSv) 2020

80.8 58 53.2 57.89 64.16

12.7 12.6 13.14 8.78 4.71

60.6 47.6 50.45 25.27 9.91

19.9 14.6 4.1 0.42 4.78 Total 174 132.8 120.89 136.82 83.56

Radiology
In 2019, wearers (see details below) recorded unusually high doses compared to typical levels normally
received. The local dose investigation level of 1 mSv was exceeded and a statutory dose investigation was
undertaken by the respective RPSs. The doses were all received in a single monitoring period and would
suggest the exposures were most likely due to an exposure in transit. Landauer have been experiencing
problems with certain carriers subjecting packages to cargo x-ray machines despite being labelled as x-ray
sensitive.

Wearer No.

,

1.69 mSv – received in Q1 Wearer No.

1.21 mSv – receive in Q2
Wearer No.

4.02 mSv – received in Q2

Dose Sharing (IRR17 – Cooperation between employers) It is noted that several hospital employees carry out limited radiation work at Manx Medical Limited (MML). Under the regulations, where employees carry out work for another employer, both employers need to formally cooperate to ensure compliance with the regulations. Typically, this involves sharing of dose information to ensure dose limits are not exceeded and total levels of exposure are known. The only noteworthy dose received at MML was as follows:

0.36 mSv (2020).

Total doses aggregated across both sites are below 0.4 mSv and are not significant.

  1. Radiation Safety Surveys & Advice - Ionising Radiations 2.1 Radiation Safety Surveys A record of all surveys carried out in the reporting period is provided in Appendix 1 of this report. Please note that the contractual equipment 2 yearly surveys will be taking place week beginning the 6th September 2021.
    2.3 Provision of expert advice – RPA/MPE/RWA The Radiation Protection Adviser (RPA), Medical Physics Expert (MPE) and Radioactive Waste Adviser (RWA) are available for advice and consultation at any time. A summary of the key consultations and work items are itemised in full in Appendix 1.

Registered Company No.1941809 www.irs-limited.com Key headline advisory consultations are listed below: • Patient Dose Audit (RPA20-2385) • New Plans Consultation for CT and MRI Rooms (RPA20-0986, RPA20-0133 & RPA19-6407) • MPE support with the employer’s ARSAC licence application.
• IRR17 compliance audit report (RPA20-1343)

  1. Patient dose audit and DRLs The patient dose audit work was concluded in April 2020 using the audit employed methodologies detailed in Report No. 88 (Institute of Physics and Engineering in Medicine) Guidance on the establishment and use of diagnostic reference levels for medical x-ray examinations. Key outcomes from the work are summarised below: • Median DAP values compared against previous Local DRLs and National DRLs for radiographic, fluoroscopic and CT examinations • On the whole local doses are deemed acceptable when compared to National DRLs where these are available • The work has identified a small number of examinations where further investigation is required to assess whether dose reduction is possible. They are: Radiographic

o Knee AP Examinations median doses were more than 20% higher than the LDRL o Chest PA Examinations at Ramsey & District Cottage Hospital were 40% higher than the National DRL.

  1. Radiation Incidents
    In the 2-year reporting period, IRS was asked for advice/recommendations following notification of 18 radiation incidents ((8 incidents were reported in 19-20 and 10 incidents were reported in 20-21) involving exposure to ionising radiation. 15 incidents related to work with x-ray equipment and 3 incidents occurred in Nuclear Medicine.

All incidents were patient related and therefore considered under IRMER 19 and CQC guidance. For genuine accidental exposures, where no exposure was intended, the Isle of Man regulation inspectorate have indicated that all accidental exposures regardless of dose received are to be notified to the Regulation Directorate. Previously IRS MPEs were using criteria adopted in England for assessment of accidental exposures. This has consequently led to CT Thorax accidental exposure being retrospectively notified to the Regulation Directorate.

There were 3 incidents in Nuclear Medicine that were considered reportable due to all patients receiving an unintended exposure that resulted from the same incident/theme. An equipment malfunction occurred after 3 patient administrations had been injections and it was not possible to scan the patients.

  1. Radiation Safety Surveys & Advice – Non-Ionising Radiations Radiation safety surveys and advice are also provided in relation to work with non - ionising radiations i.e., ultrasound and MRI scanners. These are also listed in Appendix 1.
    Only 1 Class 4 laser is currently used in the Eye Clinic. Theatre lasers were decommissioned

Registered Company No.1941809 www.irs-limited.com

  1. Training
    The scheduled programme for the forthcoming 12 months is:
    • One Day RPS Refresher Course on 24th November 2021 • Two Day Radiation Protection Supervisors Course April 2022 TBC • One Day Laser Safety Course July 2022 TBC

All courses are currently being run online via MS Teams. For course information please contact

  1. New Regulations and Guidance - IRR17 and IRMER17
    No new regulations have been introduced since the last RPC. Since the last RPC there has been up-dated IR(ME)R guidance in the form of the following publication:
    ➢ IR(ME)R – Implications for clinical practice in diagnostic imaging, interventional radiology, and diagnostic nuclear medicine.

https://www.rcr.ac.uk/system/files/publication/field_publication_files/irmer-implications-forclinical- practice-in-diagnostic-imaging-interventional-radiology-and-nuclear-medicine.pdf
The above report now provides guidance on what constitutes a clinically significant accidental or unintended exposure (CSAUE). DHSC have not published guidance on this topic but have asked the professional bodies to provide guidance. CSAUE events will be reportable to CQC in the following circumstances:

• Accidental or unintended exposure – where the radiation induced cancer risk is greater than
0.1% (1 in 1,000)
• Foetal risk, where the pregnancy was not known about is greater than 0.1% (1 in 1,000)
• Unjustified exposure which is greater than 5Gy dose to the skin

  1. Critical Examination Update
    IRS has become aware that installers of x-ray equipment are not always honouring their legal obligation to carry out a critical examination following the replacement or repair of critical safety components that can have a bearing on radiation safety. Examples of critical safety components requiring a critical examination are new tube installations and repair or replacement of AEC devices. As the owner of the equipment, we are reminding employers to seek assurance that limited critical examinations are carried out in these instances and specified in service and maintenance contracts.

Registered Company No.1941809 www.irs-limited.com

APPENDIX 1 RPA/MPE AND SURVEY WORK UNDERTAKEN FOR NOBLES HOSPITAL FROM 1st June 2019 to 31st May 2021

RPC REPORT Period 1 Jun- 2019 to 1 May- 2021 Nobles IOM Trust IRS Job Card Ref Date Out Task Code Contact Name Contact Type Date In RPA WORK COMPLETED ( 97 ) Nobles Jobs (88) Breast Screening RPA20-3590 30-Jun-20 IRMER - QA Programmes (Equipment) E-mail 25-Jun-20 RPA19-5014 20-Sep-19 Survey - Reports Report 20-Sep-19 RPA19-3083 24-Jun-19 Survey - Reports E-mail 17-Jun-19 RPA19-1615 26-Sep-19 IRR17 - Equipment QA Programmes E-mail 18-Mar-19 Dental Radiology RPA20-1364 14-Feb-20 Survey - Reports Report 14-Feb-20 RPA19-5252 15-Oct-19 IRR - Consultation on new plans/installations Report 01-Oct-19 Laser and IPLs RPA19-6395 22-Nov-19 Equipment / Source Disposal Telephone 22-Nov-19 Magnetic Resonance RPA20-5565 07-Oct-20 Survey - Reports Report 07-Oct-20 www.irs-limited.com Registered Company No.194180 06 September 2021 Page 1 of 11 Job Card Ref Date Out Task Code Contact Name Contact Type Date In RPA WORK COMPLETED ( 97 ) Nobles Jobs (88) RPA20-2845 13-May-20 IRR - Consultation on new plans/installations Other 13-May-20 RPA20-1339 11-Mar-20 Non-ionising - Consultation on new plans / Installations Report 12-Feb-20 Nuclear Medicine RPA21-1598 01-Mar-21 IRR - Dose Assessment - Occupational / General Public Other 01-Mar-21 RPA21-1356 23-Feb-21 IRMER - SAUE Assessment Report 18-Feb-21 RPA21-1352 23-Feb-21 IRMER - SAUE Assessment Report 18-Feb-21 RPA21-1354 23-Feb-21 IRMER - SAUE Assessment Report 18-Feb-21 RPA21-0984 10-Feb-21 IRMER - Employers Licence (ARSAC) E-mail 05-Feb-21 RPA20-7415 21-Dec-20 IRMER - Employers Licence (ARSAC) E-mail 21-Dec-20 RPA20-4735 02-Sep-20 IRR - Consultation on new plans/installations E-mail 26-Aug-20 RPA20-0169 10-Jan-20 IRMER - Policies, Procedures, Clinical Protocols E-mail 10-Jan-20 RPA19-6920 09-Jan-20 IRMER - Policies, Procedures, Clinical Protocols E-mail 17-Dec-19 RPA19-6280 18-Nov-19 IRMER - Policies, Procedures, Clinical Protocols E-mail 18-Nov-19 RPA19-3337 27-Jun-19 IRR - General Consultation Other 27-Jun-19 Diagnostic Radiology X-Ray RPA21-1732 04-Mar-21 IRR - General Consultation E-mail 04-Mar-21 RPA21-1464 25-Feb-21 IRR - General Consultation E-mail 23-Feb-21 www.irs-limited.com Registered Company No.194180 06 September 2021 Page 2 of 11 Job Card Ref Date Out Task Code Contact Name Contact Type Date In RPA WORK COMPLETED ( 97 ) Nobles Jobs (88) RPA21-1448 25-Feb-21 IRMER - SAUE Assessment Report 23-Feb-21 RPA21-0810 01-Feb-21 IRR - General Consultation E-mail 01-Feb-21 RPA21-0807 01-Feb-21 IRR - General Consultation Other 01-Feb-21 RPA21-0538 26-Jan-21 IRR - Dose Assessment - Occupational / General Public E-mail 26-Jan-21 RPA21-0689 26-Jan-21 IRR - General Consultation E-mail 26-Jan-21 RPA21-0268 18-Jan-21 IRMER - SAUE Assessment Report 14-Jan-21 RPA21-0131 10-Jan-21 IRMER - SAUE Assessment E-mail 07-Jan-21 RPA20-7554 07-Jan-21 IRMER - QA Programmes (Equipment) E-mail 23-Dec-20 RPA20-6647 20-Nov-20 IRR - Advice on monitoring requirements Other 20-Nov-20 RPA20-6003 12-Nov-20 IRMER - General Consultation E-mail 28-Oct-20 RPA20-5920 27-Oct-20 IRMER - SAUE Assessment Report 23-Oct-20 RPA20-5216 28-Sep-20 IRR - Consultation on new plans/installations E-mail 23-Sep-20 RPA20-4981 10-Sep-20 IRR - Dose Assessment - Occupational / General Public Report 09-Sep-20 RPA20-4847 03-Sep-20 Non-ionising - Consultation on new plans / Installations E-mail 03-Sep-20 RPA20-4422 11-Aug-20 Document Preparation Report 11-Aug-20 RPA20-3925 16-Jul-20 IRMER - General Consultation E-mail 16-Jul-20 RPA20-3088 29-May-20 Survey - Reports Report 29-May-20 RPA20-2553 27-Apr-20 IRMER - Patient Dose Audits E-mail 21-Apr-20 RPA20-2545 20-Apr-20 IRMER - Patient Dose Audits Report 20-Apr-20 www.irs-limited.com Registered Company No.194180 06 September 2021 Page 3 of 11 Job Card Ref Date Out Task Code Contact Name Contact Type Date In RPA WORK COMPLETED ( 97 ) Nobles Jobs (88) RPA20-2536 20-Apr-20 Dose Assessment Unintended Patient Exposure Report 17-Apr-20 RPA20-2385 22-Apr-20 IRMER - Patient Dose Audits Report 02-Apr-20 RPA20-2057 18-Jun-20 IRR - Consultation on new plans/installations Report 13-Mar-20 RPA20-1890 09-Mar-20 Dose Assessment Unintended Patient Exposure Report 09-Mar-20 RPA20-1491 24-Feb-20 IRR - Engineering controls Telephone 20-Feb-20 RPA20-1390 17-Feb-20 IRR - Consultation on new plans/installations E-mail 14-Feb-20 RPA20-1343 28-Apr-20 IRR - Compliance Report Report 12-Feb-20 RPA20-1341 11-Feb-20 External Meeting RPC Attendance Visit 11-Feb-20 RPA20-1342 11-Feb-20 Compliance Audit Visit, Report Visit 11-Feb-20 RPA20-1340 11-Feb-20 Site Visit Visit 11-Feb-20 RPA20-0986 03-Feb-20 IRR - Consultation on new plans/installations Report 03-Feb-20 RPA20-0236 13-Jan-20 IRR - Consultation on new plans/installations Telephone 13-Jan-20 RPA20-0183 13-Jan-20 Dose Assessment Unintended Patient Exposure E-mail 10-Jan-20 RPA20-0157 09-Jan-20 Survey - Reports Report 09-Jan-20 RPA20-0133 09-Jan-20 IRR - Consultation on new plans/installations E-mail 08-Jan-20 RPA20-0034 21-Jan-20 IRR - Local Rules and Systems of work E-mail 02-Jan-20 RPA19-7051 31-D

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